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Level 1 Extraocular, Repair, and Plastic Eye Procedures

Wisconsin rates for APC 5501

Level 1 Extraocular, Repair, and Plastic Eye Procedures

Rates data updated October 2026.

How much does Level 1 Extraocular, Repair, and Plastic Eye Procedures cost?

$977

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $871 to $1,000.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $977 · 10th to 90th $676 to $1,175
$500$1K$2Kfacility $977

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$933.25
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$977.24
Typical High
$1,122.02
Quartz
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$851.14
Typical High
$1,318.26

Where Wisconsin sits

The same service costs 5.1 times more in Maine than in South Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 6th of 42

$977

ME $1,380SD $269

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.